Organization
207 PERIODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA ACHILLE DMD (OWNER DENTIST)
(207) 774-1471
Entity
Organization
Contact information
Practice address
595 BRIGHTON AVE, PORTLAND, ME 04102-2322
(207) 774-1471
(207) 774-1472
Mailing address
595 BRIGHTON AVE, PORTLAND, ME 04102-2322
(207) 774-1471
(207) 774-1472
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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